What to expect in therapy

Here are the practical details of starting therapy. For session style, see How sessions work.

Before your first session

A polished summary of your history can wait. People often begin with a reaction they are tired of, an argument that will not leave, or a sense that life has been heavier than they want to admit.

An optional free 15-minute consultation is a phone call about fit and availability. Keep your first message general.

Services are arranged through Stonebridge Counseling. Stonebridge will provide intake paperwork that must be completed before our first therapy session. If you have trouble accessing or completing the forms, contact Stonebridge.

What the first session is for

The first full session is mostly orientation. We talk about what brought you in, what you hope might be different, and anything that shapes the work: schedule, energy, family responsibilities, sensory needs, or nerves about opening up.

Your whole history does not need to fit into one sitting. If you go blank, we can start with the week you just had.

How pacing usually works

Sessions are typically 50 minutes, and most people begin weekly. Over time, some move to every other week once things feel more stable. The right pace depends on what you are working through, your energy, and what your insurance allows.

You can ask to slow down or tell me something is not helping. We adjust the pace together.

Virtual therapy in California

All sessions are through secure video. You need to be in California at the time of each appointment. That is a legal requirement for this care. Virtual therapy works well if commuting is hard, your schedule is tight, or you prefer meeting from your own space.

You will need a private place to talk and a reliable connection.

Insurance and practical questions

Insurance and self-pay are available through Stonebridge Counseling. For payment questions, call billing at (530) 230-9212. For scheduling, call (530) 341-3786. Current availability is on Start Here.

Knowing whether the fit is right

You are deciding whether you can think out loud here and work at a pace you can take in. If something feels off, including a misunderstanding between us, say so. That tells us something useful.

If the work is helping, the first signs are often small. A little more space between a trigger and your reaction. A little more clarity about what you need. A little less shame about how your mind works. The bigger loops can still be there.

You can ask about fit before deciding whether to start.